<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">用户id</label>
            <div class="layui-input-block">
                <input type="text" name="unid" class="layui-input"  placeholder="请输入用户id" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">商家id</label>
            <div class="layui-input-block">
                <input type="text" name="store_id" class="layui-input"  placeholder="请输入商家id" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否中奖 0 未中奖 1中奖</label>
            <div class="layui-input-block">
                <input type="text" name="win" class="layui-input"  placeholder="请输入是否中奖 0 未中奖 1中奖" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">备注</label>
            <div class="layui-input-block">
                <input type="text" name="remaks" class="layui-input"  placeholder="请输入备注" value="">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>